- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At HCA Healthcare, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you to be a...of our team. **Job Summary and Qualifications** The Concurrent Review and Query Specialist interprets information within the company's… more
- University of Utah Health (Salt Lake City, UT)
- …appropriateness of admissions with associated levels of care and continued stay review . + Communication to third-party payers for initial and concurrent clinical ... review . + Reviews patient chart to ensure patient continues...cost, or over/under-utilization of resources. + Performs verbal/fax clinical review with payer as determined by nursing judgment and/or… more
- PennyMac (Moorpark, CA)
- …mortgage journey. A Typical Day Position Summary:The Operations Manager - Precision Review at PennyMac will lead and oversee a specialized team responsible for ... improvement, and team development, driving efficiency and accuracy across the Precision Review function. The Operations Manager will serve as a key partner to… more
- Children's Mercy Kansas City (Kansas City, MO)
- …training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing ... processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or MCG screening guidelines, and clinical denials/appeals oversight.… more
- US Tech Solutions (Jersey City, NJ)
- …NJ 07310** **Seeking to engage a contractor to support the work of its Credit Risk Review team. The primary role of Credit Risk Review is to:** + Promptly ... 5 to 10 years financial services work experience in credit extension, underwriting, review , or analysis. + Strong credit analysis skills with a solid understanding… more
- Nightwing (Sterling, VA)
- …community, defense, civil, and commercial markets. Nightwing seeks part-time Information Review and Release Analysts for our Ft. Meade, Maryland client in ... the substance and overall context of select documents, conduct first-level review of classified information and make the appropriate redactions-electronically and/or… more
- ThermoFisher Scientific (Waltham, MA)
- …Partnership (FSP) Team in North America. We are seeking an experienced and skilled Document Review Specialist II who will be dedicated to one or more clients in the ... range of document management systems would be preferred. As a remote-based Document Review Specialist within the FSP Team, you will effectively review regulatory… more
- Novant Health (NC)
- What We Offer Why This Role Matters As a Utilization Review Clinician, you will play a critical role in ensuring the integrity and compliance of patient health ... + Serve as a leader resource in the Utilization Review process, for the behavioral health specialty area. +...prior authorization for behavioral health services. + All Utilization Review activities are performed in accordance with the current… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review ? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- Cushman & Wakefield (St. Louis, MO)
- **Job Title** Insurance & Incident Review Analyst, Multifamily (https://careers.cushmanwakefield.com/) **Job Description Summary** The Incident & Insurance Review ... to identify trends, anomalies, or potential red flags requiring further review . * Develop, maintain, and enhance Smartsheet dashboards, trackers, and reports… more